Coronas Viviane Siqueira, Villa Natália, Nascimento Angela Longo do, Duarte Pedro Henrique Marks, Rosa Ricardo Abreu da, Só Marcus Vinícius Reis
Conservative Dentistry Department, School of Dentistry, UFRGS - Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Braz Dent J. 2020 Mar-Apr;31(2):109-115. doi: 10.1590/0103-6440202002829.
This study aimed to evaluate penetrability on dentinal tubule of a new bioceramic sealer through confocal laser scanning microscopy (CLSM). A specific fluorophore (Fluo-3) was mixed with the sealer. Forty distobuccal roots from maxillary molars were selected, and root canal preparation was carried out with Wave One Gold # 35.06 instruments. Roots were randomly assigned to 4 groups according to the filling procedures: Bioceramic/Lentulo (Sealer Plus BC); Bioceramic/EasyClean group, three activation of the sealer (3x20 s) with Easy Clean instrument; Bioceramic/Irrisonic: ultrasonic activation for 30 s; and AHplus/Lentulo: epoxy resin based sealer (AH Plus) was utilized with the same protocol as the BC/LE group. After 72 h, specimens were transversally sectioned at 2 and 7 mm from root apex and then analyzed through CLSM. Sealer penetration area on dentinal tubule was measured by Adobe Photoshop CC2018. Kruskal Wallis and Wilcoxon T tests were carried out. Penetrability results were similar for both sealers regardless of which technique was performed to activate them inside the root canal (p>0.05). It is reasonable to conclude that penetration of bioceramic and epoxy resin based sealers occurred unimpressively. The type of instrument used to activate bioceramic sealer did not affect penetrability. Fluo 3 should be recommended as the fluorophore to evaluate dentinal tubule penetration of bioceramic sealers.
本研究旨在通过共聚焦激光扫描显微镜(CLSM)评估一种新型生物陶瓷封闭剂在牙本质小管中的渗透性。将一种特定的荧光团(Fluo-3)与封闭剂混合。选取40颗上颌磨牙的远中颊根,用Wave One Gold # 35.06器械进行根管预备。根据充填步骤将牙根随机分为4组:生物陶瓷/螺旋输送器组(封闭剂加生物陶瓷);生物陶瓷/易清洁组,用易清洁器械对封闭剂进行三次激活(3×20秒);生物陶瓷/超声激活组:超声激活30秒;以及AHplus/螺旋输送器组:采用与生物陶瓷/易清洁组相同的方案使用环氧树脂基封闭剂(AH Plus)。72小时后,在距根尖2毫米和7毫米处横向剖切标本,然后通过CLSM进行分析。用Adobe Photoshop CC2018测量牙本质小管上的封闭剂渗透面积。进行了Kruskal Wallis检验和Wilcoxon T检验。无论在根管内采用何种技术激活封闭剂,两种封闭剂的渗透性结果相似(p>0.05)。可以合理地得出结论,生物陶瓷和环氧树脂基封闭剂的渗透情况并不理想。用于激活生物陶瓷封闭剂的器械类型不影响渗透性。应推荐使用Fluo 3作为评估生物陶瓷封闭剂在牙本质小管中渗透性的荧光团。